Provider Demographics
NPI:1073947560
Name:ARTE TERAPIA PR, INC.
Entity Type:Organization
Organization Name:ARTE TERAPIA PR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARICEL
Authorized Official - Middle Name:CRISTINA
Authorized Official - Last Name:GIL-OCASIO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, ATR
Authorized Official - Phone:787-429-6359
Mailing Address - Street 1:4TH ST. #14
Mailing Address - Street 2:URB. GARDEN HILLS ESTATES
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:787-429-6359
Mailing Address - Fax:
Practice Address - Street 1:4TH ST. #14
Practice Address - Street 2:URB. GARDEN HILLS ESTATES
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966
Practice Address - Country:US
Practice Address - Phone:787-429-6359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-03
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR005188261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)